United Way Youth Activities Scholarship Program

Step 1: Participant Information Section – one form per student per activity

Name of Participant

Age

School Attending

Grade

Parent/Guardian Name(s)

Address

City/Zip

Your Email

Telephone Number

Household Size

Step2: Submit financial documents for eligibility

To apply for a United Way of the Brown County Area Youth Activities Scholarship, you MUST apply for Educational Benefits with the school district that your child attends and allow the school district to share your eligibility with the United Way. The only information that will be shared with the United Way would be your final eligibility determination. No other private data will be shared with the United Way.

Click the Arrow for Details about Apply for Educational Benefits

Apply for educational benefits to qualify for additional opportunities!
Although qualifying for educational benefits is not necessary to receive free meals, it is still very important to complete the educational benefits application as soon as possible! Qualifying for educational benefits also qualifies students for: free ACT testing; participation in College Possible program; Youth Activities Scholarships with the United Way of the Brown County Area, college scholarships; some government benefits; and discounts for things such as Comcast internet service, and tickets to various museums.
You should apply if:
• Your family qualified for benefits last year — a new application MUST BE SUBMITTED EACH YEAR.
• Your family applied last year but did not meet income guidelines. The guidelines change a little each year and you may now qualify for benefits.
• Your household income has been affected by unemployment, health crisis, death or other circumstances.
Complete the Application for Educational Benefits form for school year 2025–26 if any of the following applies to your household:
• Any household member currently participates in the Minnesota Family Investment Program (MFIP), the Supplemental
Nutrition Assistance Program (SNAP), or the Food Distribution Program on Indian Reservations (FDPIR) or
• The household includes one or more foster children (a welfare agency or court has legal responsibility for the child) or
• The total income of household members is within the guidelines shown below (gross earnings before deductions, not take-
home pay). Do not include as income: foster care payments, federal education benefits, MFIP payments, or value of assistance received from SNAP, WIC, or FDPIR. Military: Do not include combat pay or assistance from the Military Privatized Housing Initiative. The income guidelines are effective from July 1, 2025 through June 30, 2026.

Have you applied for Educational Benefits with the school district?

Yes

No, but I plan to

No, I am not applying them

You are not eligible for this program.

Step 3: Program Information – MAXIMUM AMOUNT OF $200 PER PARTICIPANT

Youth Organization Name

We will contact the Youth Organization to confirm student participation and that the activity fee is correct. We will require this confirmation in order to process your request. If approved, payment will be sent to this organization in your child's name.

Youth Organization Email

Youth Organization Phone Number

Program

Start Date

Total Activity Fee:

Amount Paid to the Organization by United Way of Brown County (80%) $0.00

Payment is made to the Youth Organization not to parents or guardians.

Amount to be paid by Participant (20%) $0.00

Have you applied for other scholarships for this activity?

Yes

(Example: through your school, Park & Rec., etc.)

Signature of Parent(s)/Guardian(s)

Parents/Guardian Agreement – Upon approval of application, I (we) agree to make arrangements to support and encourage the child’s participation in this activity. Including arranging transportation, encouraging participant and good attendance, involvement in activity fundraisers and volunteer needs (as program requires), etc. Failure to meet these arrangements may jeopardize future scholarship opportunities. To the best of my knowledge, all eligibility information is true. I (we) give consent for the school to share our eligibly status.